American Urological Association - Using the AQUA Registry for MIPS Reporting


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Using the AQUA Registry for MIPS Reporting

The Merit-based Incentive Payment System (MIPS) is a path to participate in the CMS Quality Payment Program (QPP), which streamlines multiple value-based programs including Meaningful Use (MU), the Physician Quality Reporting System (PQRS) and Value-Based Modifier (VBM). The AQUA Registry is your “one-stop shop” to report on all categories of MIPS.

The graphic below shows how the AQUA Registry can help streamline your practice’s MIPS reporting needs. If you see Medicare patients, you may earn a performance-based payment adjustment through MIPS.

Merit-Based Incentive Payment System
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Who is eligible?

Eligible providers must bill Medicare more than $30,000 annually and provide care to more than 100 individual Medicare patients, per year. Both the minimum billing amount and the number of patients must be met in order to partake in the program. For MIPS, you must also be a:

  • Physician
  • Physician assistant
  • Nurse practitioner
  • Clinical nurse specialist
  • Certified registered nurse anesthetist

Removal of Pick-Your-Pace in MIPS

For the 2018 performance year, CMS finalized to remove the previous pick-your-pace options. Per the 2018 final rule, eligible providers are required to submit a full year's worth of data for the Quality performance category.

Eligible providers who do not report their data will receive a financial penalty under MIPS. The table below shows the maximum negative adjustments based on the practice size:

Penalty for Not Reporting

Practice Size

Maximum Negative Adjustment under MIPS^

(4%, 2017 performance year)









^Figures are based on 2014-2015 CMS payments to urologists.  

To learn more about the Merit-based Incentive Payment System, review AUA's MIPS Toolkit.



Important Dates & Deadlines

December 3, 2018

Deadline to register for manual 2018 MIPS reporting through the AQUA Registry NEW

*Disclaimer: If your institution expects third parties to use their institution-specific  BAA, has complex security requirements or other special issues, make sure to start the enrollment process as soon as possible to ensure all necessary paperwork is completed prior to the deadline.